DR. Hermes Bustos Mallari, D.D.S.

NPI #1033177407 in Redding, California

Provider Information

NPI Number
1033177407
Entity Type
Individual
Name
DR. Hermes Bustos Mallari, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2147 COURT ST
ZIP Code
96001-2531
Phone
(530) 246-4100

Specialties & Taxonomy Codes

Specialty
Dentist

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